Provider Demographics
NPI:1730427782
Name:DAVID, MILTON CURTIS (MD)
Entity type:Individual
Prefix:
First Name:MILTON
Middle Name:CURTIS
Last Name:DAVID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 VENETO DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9337
Mailing Address - Country:US
Mailing Address - Phone:209-545-1776
Mailing Address - Fax:209-545-1616
Practice Address - Street 1:2708 VENETO DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9337
Practice Address - Country:US
Practice Address - Phone:209-545-1776
Practice Address - Fax:209-545-1616
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE19320207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine